Job Snapshot

Job Description

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 billion people receive the right care, at the right time, in the right setting. KEPRO is seeking experienced and highly professional in our Charleston, WV office

QUALITY IMPROVEMENT COORDINATOR

Responsible for coordinating the design, implementation, and refinement of Quality Improvement Plan. Coordinates and facilitates all QI activities and assures that the Program achieves and maintain accreditation and certification status through adherence to Agency specializations. Trains staff to ensure all Operations conform to the principles of continuous quality improvement and guides the training staff on these concepts for incorporation into all provider training. Helps develop UM and UR policies and oversees the measuring and meeting of performance specifications.

Facilitates the development and implementation of quality improvement plans, including policies, procedures and guidelines

Responsible for maintaining documented standards of performance and identifying all deviations from the quality improvement plans

Responsible for compiling and analyzing financial, utilization management and other statistical data for use in the quality reporting

Reports all findings to the Program Director

Works with the Service Integration Department to develop training sessions and manuals related to providers' quality improvement plans and audits

Other duties as assigned

QUALIFICATIONS

Masters degree in Business, Public Administration, Mental Health, Social Work or Nursing - OR - equivalent license and/or licensed RN

Must have knowledge of utilization review and utilization management process

Experience in West Virginia HHS system is highly preferred

KEPRO offers challenging careers, excellent benefits, and opportunities for advancement. Come grow with a progressive health care management leader. For consideration, please submit resume and cover letter with salary requirements. Only those candidates identified for an interview will be contacted. Due to the volume of responses please, No Phone Calls. Visit our main website at www.kepro.com for more information on the KEPRO Family of Companies.

EOE AA M/F/Vet/Disability

KEPRO is an E-Verify employer. E-Verify is an internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States.